<%@ page language="java" contentType="text/html; charset=UTF-8"
	pageEncoding="UTF-8"%>
	  <%@ taglib uri="http://java.sun.com/jsp/jstl/core" prefix="c"%>
   <%@ taglib prefix="fmt" uri="http://java.sun.com/jsp/jstl/fmt" %>
<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd">
<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
<title>代理合作</title>
<%@include file="/WEB-INF/views/partial/headinclude.jsp"%>
</head>
<body>
	<div class="flex frameContent">
		<%@include file="/WEB-INF/views/partial/layout_header.jsp"%>
		<section class="main-content">
		<div class="descenter">
			<h3 class="txt_center">代理合作</h3>
			<div class="">
				<div class="flex flex_left mscenter">
					<label class="flex  agentlbname flex_40 mright">姓名 : </label> <input
						type="text" name="txtname" class="input_text flex_20"
						placeholder="姓名" />
				</div>
				<div class="flex flex_left mscenter">
					<label class="flex  agentlbname flex_40 mright">性别 : </label> 
					 <label class="flex_10 advice" ><input type="radio" name="advice" value="1" />男</label>
                   <label class="flex_10 advice" ><input type="radio" name="advice" value="2" />女</label>
				</div>
				<div class="flex flex_left mscenter">
					<label class="flex  agentlbname flex_40 mright">联系电话 : </label> <input
						type="text" name="txtname" class="input_text flex_20"
						placeholder="联系电话" />
				</div>
				<div class="flex flex_left mscenter">
					<label class="flex  agentlbname flex_40 mright">微信 : </label> <input
						type="text" name="txtname" class="input_text flex_20"
						placeholder="微信 " />
				</div>
				<div class="flex flex_left mscenter">
					<label class="flex  agentlbname flex_40 mright">邮箱 : </label> <input
						type="text" name="txtname" class="input_text flex_20"
						placeholder="邮箱" />
				</div>
				<div class="flex flex_left mscenter">
					<label class="flex  agentlbname flex_40 mright">所在省份 : </label>
					<select class="input_text flex_10"><option>北京</option><option>天津</option><option>河北</option></select>
					<span class="flex_2"></span>
					<select class="input_text flex_10"><option>北京</option><option>天津</option><option>石家庄</option></select>
					
				</div>
				<div class="flex flex_left mscenter">
					<label class="flex  agentlbname flex_40 mright">职业 : </label> <input
						type="text" name="txtname" class="input_text flex_10"
						placeholder="职业" />
				</div>
				<div class="flex flex_left mscenter">
					<label class="flex  agentlbname flex_40 mright">备注: </label>
						<textarea  name="txtname" class="input_text flex_40 areaheight" placeholder="备注" ></textarea>
				</div>
			
			</div>

		</div>
		</section>
		<%@include file="/WEB-INF/views/partial/layout_footer.jsp"%>
	</div>
</body>
</html>